WO2017132646A1 - Systèmes de transport osseux - Google Patents

Systèmes de transport osseux Download PDF

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Publication number
WO2017132646A1
WO2017132646A1 PCT/US2017/015555 US2017015555W WO2017132646A1 WO 2017132646 A1 WO2017132646 A1 WO 2017132646A1 US 2017015555 W US2017015555 W US 2017015555W WO 2017132646 A1 WO2017132646 A1 WO 2017132646A1
Authority
WO
WIPO (PCT)
Prior art keywords
bone
adjustable
housing
implant
rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2017/015555
Other languages
English (en)
Inventor
Jeffrey Schwardt
Michael Moeller
Thomas B. Buford
Vijayendran SOMASEGARAN
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nuvasive Specialized Orthopedics Inc
Original Assignee
Nuvasive Specialized Orthopedics Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to JP2018539429A priority Critical patent/JP6888015B2/ja
Priority to KR1020187024369A priority patent/KR20180107173A/ko
Priority to BR112018015504-7A priority patent/BR112018015504A2/pt
Priority to AU2017212806A priority patent/AU2017212806B2/en
Priority to EP17705517.5A priority patent/EP3407812B1/fr
Priority to DK17705517.5T priority patent/DK3407812T3/da
Priority to CN201780020777.6A priority patent/CN108882953B/zh
Priority to ES17705517T priority patent/ES2805657T3/es
Priority to EP19219300.1A priority patent/EP3656323B1/fr
Application filed by Nuvasive Specialized Orthopedics Inc filed Critical Nuvasive Specialized Orthopedics Inc
Priority to CN202110928533.6A priority patent/CN113598921B/zh
Publication of WO2017132646A1 publication Critical patent/WO2017132646A1/fr
Priority to US16/046,909 priority patent/US10918425B2/en
Anticipated expiration legal-status Critical
Priority to US17/136,993 priority patent/US20210113247A1/en
Priority to AU2021204968A priority patent/AU2021204968B2/en
Priority to AU2023206144A priority patent/AU2023206144B2/en
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary devices, e.g. pins or nails
    • A61B17/7216—Intramedullary devices, e.g. pins or nails for bone lengthening or compression
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72—Intramedullary devices, e.g. pins or nails
    • A61B17/7216—Intramedullary devices, e.g. pins or nails for bone lengthening or compression
    • A61B17/7225—Intramedullary devices, e.g. pins or nails for bone lengthening or compression for bone compression
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/62—Ring frames, i.e. devices extending around the bones to be positioned
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/66—Alignment, compression or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • A61B17/8019—Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones where the means are a separate tool rather than being part of the plate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/16—Instruments for performing osteoclasis; Drills or chisels for bones; Trepans
    • A61B17/17—Guides or aligning means for drills, mills, pins or wires
    • A61B17/171—Guides or aligning means for drills, mills, pins or wires for external fixation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/60—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements for external osteosynthesis, e.g. distractors, contractors
    • A61B17/64—Devices extending alongside the bones to be positioned
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/88—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8866—Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices for gripping or pushing bones, e.g. approximators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00367—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398—Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A61B2017/00402—Piezo electric actuators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00831—Material properties
    • A61B2017/00876—Material properties magnetic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws or setting implements
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681—Alignment, compression, or distraction mechanisms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2430/00—Materials or treatment for tissue regeneration
    • A61L2430/02—Materials or treatment for tissue regeneration for reconstruction of bones; weight-bearing implants

Definitions

  • the present disclosure further provides for a method for transporting a portion of bone within a patient having an incomplete bone including providing an adjustable-length implant configured for intramedullary placement and having a first end configured to be coupled to bone and a second end configured to be coupled to bone, wherein the first end and the second end are displaceable relative to each other along a longitudinal axis, placing the adjustable- length implant at least partially within the medullary canal of a bone of a subject, the bone having first and second ends and having at least first and second portions having a space there between, the first portion of the bone including the first end of the bone and the second portion of the bone including the second end of the bone, creating a third portion of the bone by detaching at least some of either the first portion of the bone or the second portion of the bone, wherein the third portion of the bone does not include the first end of the bone or the second end of the bone, coupling an external fixator to the bone, the external fixator having an external base, a first pin and a second pin, by coupling the first
  • the transport portion 1 14 and the proximal portion 102 may be coupled to the adjustable-length implant 501 in order to move the transport portion 1 14 with respect to the proximal portion 102 and distal portion 104.
  • the proximal portion 102 of the bone 100 may be drilled on an axis through one or more holes 510 in the housing 504 and one or more bone screws 508 may be placed through the one or more holes 510 and secured to the proximal portion 102 of the bone 100.

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Neurology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)
  • Transplanting Machines (AREA)

Abstract

La présente invention concerne un système de transport osseux, le système comprenant : un implant de longueur réglable configuré pour placement intramédullaire et comprenant une première extrémité configurée pour être couplée à un os et une deuxième extrémité configurée pour être couplée à un os, la première extrémité et la deuxième extrémité étant déplaçables l'une par rapport à l'autre le long d'un axe longitudinal ; et un élément d'entraînement configuré pour être activé de façon non invasive pour déplacer les première et deuxième extrémités l'une par rapport à l'autre le long de l'axe longitudinal ; et un élément de support ayant des extrémités distale et proximale, l'élément de support comprenant une fente s'étendant longitudinalement disposée entre les extrémités distale et proximale de l'élément de support, la fente ayant des extrémités opposées, la fente étant configurée pour faire passer un ancrage allongé de sorte que l'ancrage allongé puisse coulisser entre la première extrémité et la deuxième extrémité de la fente.
PCT/US2017/015555 2016-01-28 2017-01-30 Systèmes de transport osseux Ceased WO2017132646A1 (fr)

Priority Applications (14)

Application Number Priority Date Filing Date Title
EP19219300.1A EP3656323B1 (fr) 2016-01-28 2017-01-30 Systèmes de transport osseux
BR112018015504-7A BR112018015504A2 (pt) 2016-01-28 2017-01-30 sistemas para transporte ósseo
AU2017212806A AU2017212806B2 (en) 2016-01-28 2017-01-30 Systems for bone transport
EP17705517.5A EP3407812B1 (fr) 2016-01-28 2017-01-30 Systèmes de transport osseux
DK17705517.5T DK3407812T3 (da) 2016-01-28 2017-01-30 System til knogletransport
CN201780020777.6A CN108882953B (zh) 2016-01-28 2017-01-30 骨搬移用的系统
ES17705517T ES2805657T3 (es) 2016-01-28 2017-01-30 Sistemas para transporte óseo
JP2018539429A JP6888015B2 (ja) 2016-01-28 2017-01-30 骨移動のためのシステム
CN202110928533.6A CN113598921B (zh) 2016-01-28 2017-01-30 骨搬移用的系统
KR1020187024369A KR20180107173A (ko) 2016-01-28 2017-01-30 골 이동술용 시스템
US16/046,909 US10918425B2 (en) 2016-01-28 2018-07-26 System and methods for bone transport
US17/136,993 US20210113247A1 (en) 2016-01-28 2020-12-29 System and methods for bone transport
AU2021204968A AU2021204968B2 (en) 2016-01-28 2021-07-12 Systems for bone transport
AU2023206144A AU2023206144B2 (en) 2016-01-28 2023-07-19 Systems for bone transport

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US201662288348P 2016-01-28 2016-01-28
US62/288,348 2016-01-28

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US16/046,909 Continuation US10918425B2 (en) 2016-01-28 2018-07-26 System and methods for bone transport

Publications (1)

Publication Number Publication Date
WO2017132646A1 true WO2017132646A1 (fr) 2017-08-03

Family

ID=58046758

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2017/015555 Ceased WO2017132646A1 (fr) 2016-01-28 2017-01-30 Systèmes de transport osseux

Country Status (10)

Country Link
US (3) US10918425B2 (fr)
EP (2) EP3656323B1 (fr)
JP (2) JP6888015B2 (fr)
KR (1) KR20180107173A (fr)
CN (2) CN108882953B (fr)
AU (3) AU2017212806B2 (fr)
BR (1) BR112018015504A2 (fr)
DK (1) DK3407812T3 (fr)
ES (2) ES2805657T3 (fr)
WO (1) WO2017132646A1 (fr)

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CN111150478A (zh) * 2020-01-02 2020-05-15 赣南医学院 一种生物医用可降解镁合金接骨板
US11065037B2 (en) 2016-05-19 2021-07-20 Auctus Surgical, Inc. Spinal curvature modulation systems and methods
US20220304730A1 (en) * 2021-03-26 2022-09-29 Nuvasive Specialized Orthopedics, Inc. Intramedullary device for ankle fusion
WO2023107823A1 (fr) 2021-12-07 2023-06-15 Nuvasive Specialized Orthopedics, Inc. Implant réglable à engrenages cycloïdes
US12262917B2 (en) 2016-05-19 2025-04-01 Auctus Surgical, Inc. Spinal curvature modulation systems and methods
US20250221822A1 (en) * 2024-01-04 2025-07-10 Arthrex, Inc. Hydraulic taper separator for orthopaedic implant systems and methods of disassembly

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EP2367486B1 (fr) * 2008-10-31 2024-07-10 Implantica Patent Ltd. Dispositif pour l'ajustement des os avec fonction d'ancrage
US9179938B2 (en) * 2013-03-08 2015-11-10 Ellipse Technologies, Inc. Distraction devices and method of assembling the same
DK3407812T3 (da) * 2016-01-28 2020-09-21 Nuvasive Specialized Orthopedics Inc System til knogletransport
US11278330B2 (en) * 2017-02-02 2022-03-22 Smith & Nephew, Inc. Implantable bone adjustment devices
PL3491998T3 (pl) 2017-11-30 2021-11-15 Endotact Wszczepialne urządzenie do dystrakcji
AU2020221828A1 (en) 2019-02-13 2021-10-07 Children's Hospital Of Philadelphia Systems and methods for a smart, implantable cranio-maxillo-facial distractor
DE102019122354A1 (de) * 2019-08-20 2021-02-25 Orthofix Srl Marknagel für eine Distraktion eines Röhrenknochens
CN110840624A (zh) * 2019-12-04 2020-02-28 北京爱康宜诚医疗器材有限公司 骨填充假体
US20210186643A1 (en) * 2019-12-20 2021-06-24 Endotact Distraction device with reflector
NL2025981B1 (en) * 2020-07-03 2022-03-11 Osseointegration Int B V Bone nail device
WO2022015898A1 (fr) 2020-07-17 2022-01-20 Nuvasive Specialized Orthopedics, Inc. Dispositif et système extramédullaires
US12213708B2 (en) * 2020-09-08 2025-02-04 Nuvasive Specialized Orthopedics, Inc. Remote control module for adjustable implants
CN112263317B (zh) * 2020-11-16 2025-06-06 河南科科生物科技有限公司 一种新型骨搬移髓内钉
CN112656497B (zh) * 2020-12-31 2024-06-18 黄立辉 胫骨横向骨搬移装置
US11806054B2 (en) 2021-02-23 2023-11-07 Nuvasive Specialized Orthopedics, Inc. Adjustable implant, system and methods
EP4153077A1 (fr) * 2021-06-04 2023-03-29 NuVasive Specialized Orthopedics, Inc. Implant ajustable à étanchéité et rétention avancées
WO2023283326A1 (fr) * 2021-07-07 2023-01-12 Surgical Design Innovations Ii, Llc Dispositif de fixation de fracture osseuse et systèmes et procédés associés
US20240130764A1 (en) * 2021-07-07 2024-04-25 Surgical Design Innovations Ii, Llc Bone fracture fixation device and related systems and methods
AU2022325024A1 (en) 2021-08-03 2024-02-22 Nuvasive Specialized Orthopedics, Inc. Adjustable implant
US20230190342A1 (en) * 2021-12-17 2023-06-22 Mark Robert BRINKER Surgical device
US11540924B1 (en) * 2022-02-14 2023-01-03 Ezat EL-SAID Remotely adjustable orthopedic prostheses
US20230338070A1 (en) * 2022-04-26 2023-10-26 Stryker European Operations Limited Retrograde Nail with Bone Plate
EP4268740A1 (fr) * 2022-04-26 2023-11-01 Stryker European Operations Limited Vis plongeante ou de liaison
US12551240B2 (en) * 2022-06-13 2026-02-17 Nuvasive Inc. Distraction loss magnet on-off mechanism
WO2024025719A1 (fr) 2022-07-26 2024-02-01 Nuvasive Specialized Orthopedics, Inc. Implant de transport d'os
US20240122624A1 (en) * 2022-10-14 2024-04-18 Globus Medical, Inc. External fixation system with multi-pin clamp and attachment post
US20240225704A9 (en) 2022-10-21 2024-07-11 Nuvasive Specialized Orthopedics, Inc. Extramedullary device
US12232790B2 (en) 2022-12-30 2025-02-25 IvyTech Design LLC Adjustable angle orthopedic distractor, compressor, and distractor-compressor
KR102866882B1 (ko) * 2023-03-15 2025-10-17 경북대학교 산학협력단 뼈 연장술을 위한 신연장치
US12533164B2 (en) 2023-05-03 2026-01-27 Nuvasive Specialized Orthopedics, Inc. Adjustable implant
AU2024276305A1 (en) * 2023-05-23 2025-12-11 Vertical Orthopaedics, Inc. Bone growth device

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CN204744374U (zh) * 2015-06-26 2015-11-11 陈伟 一种骨盆骨折微创髓内固定装置

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